Individual
KENDALL MALFAVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
640 GRASSMERE PARK STE 116, NASHVILLE, TN 37211-3678
(629) 236-4547
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/16/2020
Last updated
11/13/2024
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